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California rates for HCPCS 58100

Endometrial Bx W/Wo Endocervix Bx W/O Dilat Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.00 / $2,988.00 / $14,699.00
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$43.10 / $56.22 / $297.48
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$17.23 / $22.49 / $118.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.76 / $161.94 / $501.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$39.89 / $67.52 / $289.69
Aetna
Facility/Professional
Professional
Modifier
53
Low / Median / High Price
$17.23 / $41.36 / $118.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.63 / $115.47 / $193.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,505.00 / $9,119.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.00 / $151.38 / $290.57
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,588.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.76 / $122.22 / $274.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.38 / $77.26 / $182.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.05 / $120.14 / $290.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.04 / $74.23 / $130.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.43 / $104.61 / $180.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $293.32 / $303.00
Lucent Health
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$126.65 / $242.40 / $242.40
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$31.66 / $60.60 / $60.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.72 / $719.92 / $845.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.92 / $119.10 / $163.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.14 / $125.21 / $272.39
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.97 / $206.97 / $319.97
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.04 / $61.56 / $132.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.00 / $1,495.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $119.31 / $322.08